SPRING BREAK CAMP REGISTRATION FORM

SPRING CAMP REGISTRATION

First Name

Last Name

Street

City

State

Zip Code

First Name

Last Name

First Name

Last Name

EMERGENCY CONTACT INFORMATION

*Emergency Contact is an adult (other than the parent/guardian) who can be called in the event of an emergency, when a parent/guardian cannot be reached. PAW will always FIRST attempt to reach the parent/guardian.   Do not list parent/guardian here.

Full Name

Full Name

CHILD PICK-UP AUTHORIZATIONS

If other than Parent, complete and return the following form via email: performingartsla@aol.com.

Click Here For: Pickup Authorization Note
 

If YES, complete and return the following form via email: performingartsla@aol.com. (Please Note: PAWs “Release Authorization” does specifically require your child to leave campus once they sign-out to walk or bike home. Children are not permitted to remain on campus once they are released by PAW, and are no longer under our supervision, or wait at a designated location on campus for parent pick-up.)

Click Here For: Walk/Bike Authorization Note

BUILD YOUR SPRING BREAK SCHEDULE

SPRING BREAK CAMP IN: EL SEGUNDO  (APRIL 1 - APRIL 5)
SPRING BREAK CAMP IN: NORTHRIDGE  (MARCH 25 - MARCH 29)
SPRING BREAK CAMP IN: RANCHO PALOS VERDES  (APRIL 1 - APRIL 5)
SPRING BREAK CAMP IN: WEST LA  (MARCH 25 - MARCH 29)
GET A PAW T-SHIRT

Order it now with registration for only $20. (Available at camp for $25)

ORDER A PAW THEATERGRAM

A keepsake TheaterGram with your loving words of encouragement will be hand delivered to your child by PAW teachers backstage before the show.  Just $10

(A truly wonderful way to help support PAW’s scholarship program)

CHOOSE YOUR CAMP DISCOUNT
BILLING INFORMATION
Payment Method (Please Select One):

Street

City

State

Zip Code

Type Of Card (VISA, MC, AMEX, etc.)

16-Digit Card Number

Expiration Date (mm/yy)

CV2# (Security Code)

CAMP POLICIES

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